In-State Eligibility, Benefits and Claim Status Information
Out-of-State (BlueCard®) Eligibility and Claim Status Information
Chiropractic Services
Health Network Solutions, Inc.
(Blue Cross NC HMO & Blue Cross NC PPO)
Contractual Updates
Updates to Notice Contract Address
Credentialing and Enrollment
Credentialing
Enrollment
(to obtain billing numbers)
Demographic Updates
Disease Management
Healthy Outcomes
Tools for managing specific health conditions such as asthma, diabetes, or cardiovascular disease
Electronic Claim Submissions
Electronic claims submission
Tools for managing specific health conditions such as asthma, diabetes, or cardiovascular disease
Federal Employee Program (FEP)
Benefits
Claims
Eligibility
Health Management (case management)
Healthy Endeavors (disease management)
Behavioral Health (mental health and substance use disorder)
Precertification and Prior Approval
Retail Pharmacy
Fraud and Abuse
If you suspect healthcare fraud and abuse, please report the problem immediately to Blue Cross NC
Healthcare Management and Operations (HM&O)
Prospective review
Prior review
Admission certification
Discharge planning
Case management
Continuity of care
Submitting Precertification/Admission Notification or Continued Stay Review
Blue e
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800.672.7897
Monday-Thursday 8 a.m. - 7 p.m.
Friday 8 a.m. - 5 p.m.
Voice Messaging System is available outside of regular business hours.
Blue e
//providers.bcbsnc.com/providers/login.faces
800.672.7897
Behavioral Health (Mental Health and Substance Use Disorder)
Behavioral Health
Value Options (for members enrolled in SHP)
800.359.2422
800.367.6143
Office-Administered Specialty Drug Network
Member-specific, dose-specific drugs delivered directly to your practice.
Diagnostic Imaging Management Program
CT/CTA scans
MRI/MRA scans
PET scans
Nuclear cardiology studies
Spanish Speaking Patients
Blue Cross NC offers a Spanish speaking customer service line for your patients
State Health Plan (SHP)
Strategic Provider Relationships
Questions regarding policies, procedures or guidelines (non-claims related)
800-777.1643
919.765.4349
Web Self Service Tools
Online or Mobile
See what’s covered by your plan; check your claims; get ID cards; find a doctor, drug or facility; compare estimated treatment costs and more. It’s quick and so easy!
Try Blue Connect Already registered? Log In Here
Ask questions about your plan or how to cancel it, how to set up Blue Connect or reset your password.
Email Us
Telephone
For questions about your plan, bills or claims, call the Customer Service number on the back of your Blue Cross NC member ID card.
Don’t have your ID card? Call: 1-888-206-4697.
Hearing- or Speech-Impaired:
Please call 1-800-442-7028/TTY users dial 711.
Please note that you will need to identify yourself in order to be directed to the appropriate Customer Service department for your plan.
For general inquiries and questions about the Service Benefit Plan, our overseas and pharmacy coverage or fraud assistance, you can call us toll-free nationwide.
Have questions? Review our FAQs.
National Information Center
1-800-411-BLUE (2583)
Weekdays from 8 a.m. to 8 p.m. Eastern Time (excluding holidays)
Call the National Information Center for information about your benefits and services, FEP incentive programs, our supplemental dental and vision plans, to speak with the MyBlue Contact Center or for assistance with our online tools.
If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. For other language assistance or translation services, please call the customer service number for your local BCBS company.
Overseas Information
Pharmacy Information
Fraud Information
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